Acidic and Basic Injuries

  • Wanda Lam
  • Ruel Neupane
  • Jeffrey M. MarksEmail author


Caustic injuries often present as surgical emergencies. Herein, the authors provide a review of the presentation of acidic and basic injuries and appropriate workup. Whereas acids result in coagulation necrosis and eschar formation that limits depth of penetration and injury, alkalis leads to liquefactive necrosis and saponification that promotes deeper tissue penetration. Identification of degree of injury is critical to determine management and intervention. Conservative and surgical interventions are described, to be acted upon review of clinical data. Follow-up and management of strictures are also discussed.


Acidic Basic Caustic Liquefactive necrosis Coagulation necrosis Perforation Esophageal Endoscopy Emergency 


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Copyright information

© Springer Nature Switzerland AG 2019

Authors and Affiliations

  1. 1.Department of SurgeryUniversity Hospitals Cleveland Medical CenterClevelandUSA

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